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Sponsored by: |
Swiss Group for Clinical Cancer Research |
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Information provided by: | National Cancer Institute (NCI) |
ClinicalTrials.gov Identifier: | NCT00121303 |
RATIONALE: Drugs used in chemotherapy, such as cytarabine and daunorubicin, work in different ways to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. Monoclonal antibodies, such as gemtuzumab ozogamicin, can block cancer growth in different ways. Some block the ability of cancer cells to grow and spread. Others find cancer cells and help kill them or carry cancer-killing substances to them. It is not yet known whether cytarabine and daunorubicin followed by gemtuzumab ozogamicin is more effective than cytarabine and daunorubicin in treating acute myeloid leukemia or myelodysplastic syndromes.
PURPOSE: This randomized phase III trial is studying cytarabine and two different doses of daunorubicin to see how well they work compared to cytarabine and daunorubicin followed by gemtuzumab ozogamicin in treating older patients with acute myeloid leukemia or myelodysplastic syndromes.
Condition | Intervention | Phase |
---|---|---|
Leukemia Myelodysplastic Syndromes |
Drug: cytarabine Drug: daunorubicin hydrochloride Drug: gemtuzumab ozogamicin |
Phase III |
Study Type: | Interventional |
Study Design: | Treatment, Randomized |
Official Title: | Randomised Induction and Post Induction Therapy in Older Patients (≥61 Years of Age) With Acute Myeloid Leukemia (AML) and Refractory Anemia With Excess Blasts (RAEB, RAEB-t) |
Estimated Enrollment: | 600 |
Study Start Date: | January 2005 |
OBJECTIVES:
Primary
Secondary
OUTLINE: This is a randomized, multicenter study. Patients are stratified according to participating center and diagnosis (acute myeloid leukemia [AML] vs myelodysplastic syndromes [MDS]) for induction therapy. Patients are stratified according to participating center, diagnosis (AML vs MDS), induction treatment arm (I vs II), and response to induction therapy (complete remission [CR] vs no CR) for post-induction therapy.
Induction therapy (course 1): Patients are randomized to 1 of 2 induction treatment arms.
Approximately 28-35 days after the start of course 1 (or sooner if the bone marrow shows evidence of resistant disease), patients in both arms proceed to course 2 of induction therapy.
After completion of course 2, patients undergo assessment of remission status. Patients who do not achieve CR are removed from the study. Patients achieving CR proceed to post-induction therapy and undergo a second randomization.
Post-induction therapy: Patients are randomized to 1 of 2 post-induction treatment arms.
PROJECTED ACCRUAL: A total of 600 patients will be accrued for this study within 4-5 years.
Ages Eligible for Study: | 61 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
DISEASE CHARACTERISTICS:
Histologically or cytologically confirmed diagnosis of 1 of the following:
Acute myeloid leukemia (AML)
M0-M2 or M4-M7 FAB subtype
Refractory anemia with excess blasts (RAEB) or RAEB in transformation
PATIENT CHARACTERISTICS:
Age
Performance status
Life expectancy
Hematopoietic
Hepatic
Renal
Cardiovascular
Other
PRIOR CONCURRENT THERAPY:
Biologic therapy
Chemotherapy
Endocrine therapy
Radiotherapy
Surgery
Other
United Kingdom, England | |
Kent and Canterbury Hospital | |
Canterbury, England, United Kingdom, CT2 7NR | |
Maidstone Hospital | |
Maidstone, England, United Kingdom, ME16 9QQ | |
Medway Maritime Hospital | |
Gillingham Kent, England, United Kingdom, ME7 5NY | |
North Hampshire Hospital | |
Basingstoke, England, United Kingdom, RG24 9NA | |
Royal Cornwall Hospital | |
Truro, Cornwall, England, United Kingdom, TR1 3LJ | |
United Kingdom, Wales | |
University Hospital of Wales | |
Cardiff, Wales, United Kingdom, CF14 4XW |
Study Chair: | Jonathan Kell, MRCPath | The University of New South Wales |
Study ID Numbers: | CDR0000433422, SAKK-AML-43, EU-20514, HOVON-AML-43 |
Study First Received: | July 19, 2005 |
Last Updated: | May 23, 2008 |
ClinicalTrials.gov Identifier: | NCT00121303 History of Changes |
Health Authority: | United States: Federal Government |
adult acute monocytic leukemia (M5b) adult erythroleukemia (M6a) adult pure erythroid leukemia (M6b) adult acute megakaryoblastic leukemia (M7) adult acute myeloblastic leukemia with maturation (M2) adult acute myeloblastic leukemia without maturation (M1) adult acute myelomonocytic leukemia (M4) adult acute monoblastic leukemia (M5a) refractory anemia with excess blasts in transformation refractory anemia with excess blasts |
secondary acute myeloid leukemia untreated adult acute myeloid leukemia de novo myelodysplastic syndromes adult acute minimally differentiated myeloid leukemia (M0) adult acute myeloid leukemia with 11q23 (MLL) abnormalities adult acute myeloid leukemia with inv(16)(p13;q22) adult acute myeloid leukemia with t(16;16)(p13;q22) adult acute myeloid leukemia with t(8;21)(q22;q22) secondary myelodysplastic syndromes |
Antimetabolites Leukemia, Monocytic, Acute Anti-Infective Agents Daunorubicin Immunologic Factors Precancerous Conditions Acute Myelomonocytic Leukemia Acute Monoblastic Leukemia Leukemia, Myeloid, Acute Refractory Anemia Antibodies, Monoclonal Anti-Bacterial Agents Leukemia Preleukemia Acute Myelocytic Leukemia |
Acute Erythroblastic Leukemia Anemia, Refractory Acute Myeloid Leukemia, Adult Neoplasm Metastasis Congenital Abnormalities Cytarabine Immunoglobulins Hematologic Diseases Myelodysplastic Syndromes Anemia Leukemia, Myeloid Gemtuzumab Immunosuppressive Agents Antiviral Agents Leukemia, Myelomonocytic, Acute |
Antimetabolites Anti-Infective Agents Daunorubicin Antimetabolites, Antineoplastic Immunologic Factors Precancerous Conditions Molecular Mechanisms of Pharmacological Action Antineoplastic Agents Physiological Effects of Drugs Antibiotics, Antineoplastic Leukemia, Myeloid, Acute Antibodies, Monoclonal Leukemia Preleukemia Anemia, Refractory |
Pathologic Processes Therapeutic Uses Syndrome Cytarabine Neoplasms by Histologic Type Disease Hematologic Diseases Myelodysplastic Syndromes Anemia Leukemia, Myeloid Gemtuzumab Immunosuppressive Agents Antiviral Agents Pharmacologic Actions Neoplasms |